ERNEST MICHAEL SUSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

ERNEST

Middle

MICHAEL

Last Name

SUSSMAN

Business Name

ERNEST MICHAEL SUSSMAN MD

Original Issue Date

03/05/2021

Effective Date

03/05/2021

Expiration Date

07/31/2023

City

GIBSON CITY

State

Zip

60936

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023